Organization · NPI-2

Angel Care Home

Residential Treatment Facility, Physical Disabilities · Phoenix, AZ

NPI number1164629333
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1164629333
Entity type
Organization (NPI-2)
Legal business name
Angel Care Home
Organization subpart
No
Enumeration date
Jun 29, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320700000X Residential Treatment Facility, Physical DisabilitiesALH-5805AZYes

Practice location

2231 N 38th St
Phoenix, AZ 85008-3012

Phone 602-286-0718 · Fax 602-244-1597

Mailing address

2231 N 38th St
Phoenix, AZ 85008-3012

Phone 602-286-0718 · Fax 602-244-1597

Authorized official

Judy Yvonne Martinez
Manager
6022860718

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